Overall Risk Level
error High Risk
Risk Flags
flagPrivate-equity ownership (KKR) — baseline PE risk
flagActive negligence lawsuit (filed Jan 2025, Santa Clara County Superior Court) alleging Trumpet Behavioral Health/BlueSprig failed to supervise a home-based behavioral therapist who sexually abused an 11-year-old autistic client (2024)
flagSister BlueSprig subsidiary The Shape of Behavior paid a $2.7M federal settlement (2018) over TRICARE billing fraud allegations
flagEmployee reviews describe cost-cutting culture and corporate leadership disconnected from clinic-level care, consistent with PE roll-up dynamics
Legal Issues
gavelJan 2025 civil suit (Santa Clara County Superior Court) alleging negligent hiring/supervision/retention after a Trumpet Behavioral Health therapist sexually abused an 11-year-old autistic client during home-based sessions in 2024; the therapist was arrested by San Jose Police in June 2024
Ethical Concerns
policyReviews describe executives as removed from day-to-day service delivery while frontline staff face low pay and scheduling pressure
BBB RatingNot found
Employee Sentiment
5.4
out of 10
thumb_up Common Praises
- add_circle Meaningful, mission-driven work with autistic children
- add_circle Strong paid RBT training and certification support for new hires
- add_circle Structured leveling-up program from RBT toward BCBA
- add_circle Internship program supporting BCBA fieldwork hours
- add_circle Supportive BCBAs/clinical teams at many locations
thumb_down Common Complaints
- remove_circle Low/below-average pay for RBTs and frontline staff
- remove_circle Executives and corporate leadership seen as disconnected from day-to-day clinic operations
- remove_circle No guaranteed lunch breaks; clients scheduled through eating times
- remove_circle Inconsistent, unpredictable scheduling and client cancellation policies
- remove_circle Toxic culture and favoritism reported at some locations